WHITNEY STIDHAM (APRN) – Nurse Practitioner, NPI 1720616196

WHITNEY STIDHAM (APRN) is a healthcare provider. based in Ashland, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 125688 (WV). The NPI Number for WHITNEY STIDHAM (APRN) is 1720616196

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
WHITNEY STIDHAM (APRN)
NPI
1720616196
Phone
(063) 252-2216
Address
617 23rd St Ste 19
Enumeration Date
31 March 2020
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7405328841
Graduation Year
2019 (7 years ago)
PAC ID
4789013921
Group Practice PAC ID
0042242950
Professional Enrollment ID
I20231201002401
Address ID
OH456382476IR2029XSTXX400

Contacts

Secure Messaging
whitney.stidham@marshall.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:6State licenses:3Other names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for WHITNEY STIDHAM (APRN)

  • 617 23rd St Ste 19

    Ashland, KY 411012845

    Phone: (063) 252-2216

    Type: Location

  • 4450 W EAU GALLIE BLVD STE 250

    MELBOURNE, FL 329347215

    Phone: (321) 751-6671

    Type: Mailing

  • 1480 CARTER AVE

    ASHLAND, KY 411017546

    Phone: (606) 316-2199

    Fax: (606) 325-0857

    Type: Mailing

  • PO BOX 2379

    ASHLAND, KY 411052379

    Phone: (606) 408-6200

    Type: Mailing

  • 617 23RD ST STE 19

    ASHLAND, KY 411012845

    Phone: (063) 252-2216

    Type: Location

  • 1600 MEDICAL CENTER DR STE 1500

    HUNTINGTON, WV 257013657

    Phone: (304) 691-1100

    Fax: (304) 691-1153

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $1,721.

Total Amount is formed as General ($1,721) + Research ($0) + Ownership ($0) = $1,721.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($334).

Total Amount

$1,721

General + Research + Ownership

Payments

93

Total payment records

General Amount

$1,721

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220523001607INurse PractitionerKYTBD
I20231201002401INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7855$0
99213Established patient office or other outpatient visit, 20-29 minutes7458$0
36415Insertion of needle into vein for collection of blood sample7048$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1514$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 41101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042242950View full group profile
NameSpecialtyState
-OH
-KY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is WHITNEY STIDHAM (APRN) identified in CMS data?
CMS-hosted NPPES data lists WHITNEY STIDHAM (APRN) with NPI 1720616196.
Is WHITNEY STIDHAM (APRN) still practicing?
WHITNEY STIDHAM (APRN) is currently listed as active in the public NPI registry.
What is WHITNEY STIDHAM (APRN)'s specialty?
The listing groups WHITNEY STIDHAM (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is WHITNEY STIDHAM (APRN) based?
WHITNEY STIDHAM (APRN) is tied to Ashland, Kentucky in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.